Clinically stable type A aortic dissection: an unusual case

2014 ◽  
Vol 25 (7) ◽  
pp. 1387-1388
Author(s):  
Olcay Özveren ◽  
Elif Eroğlu ◽  
Baran Erdik ◽  
Muzaffer Degertekin
Keyword(s):  
Aortic Dissection ◽  
Aortic Regurgitation ◽  
Left Ventricular Outflow Tract ◽  
Type A ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Left Ventricular Outflow

AbstractAcute type A aortic dissection is a catastrophic situation, often accompanied by aortic regurgitation. A rarely described cause of aortic regurgitation, in this clinical scenario, is the prolapse of an intimal flap into the left ventricular outflow tract. We present here a case of acute type A aortic dissection with a circumferential intimal flap, prolapsing into the left ventricular outflow tract and causing massive aortic regurgitation.

A case of acute type A aortic dissection with diastolic prolapse of the intimal flap into the left ventricular outflow tract

Choonpa Igaku ◽  
2009 ◽  
Vol 36 (4) ◽  
pp. 497-499
Author(s):  
Fumihiko HARA ◽  
Masahiko HARADA ◽  
Koichi YOSHIKAWA ◽  
Kyoko HAYASHI ◽  
Yuichi TAKARADA ◽  
...  
Keyword(s):  
Aortic Dissection ◽  
Left Ventricular Outflow Tract ◽  
Type A ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Acute Type ◽  
Type A Aortic Dissection ◽  
Intimal Flap ◽  
Left Ventricular Outflow

scholarly journals Left Ventricular Intussusception of an Intimal Flap in an Aortic Dissection Stanford Type A

Aorta ◽  
2017 ◽  
Vol 05 (03) ◽  
pp. 101-102
Author(s):  
Tim Kaufeld ◽  
Malakh Shrestha ◽  
Axel Haverich ◽  
Andreas Martens
Keyword(s):  
Aortic Dissection ◽  
Unusual Case ◽  
Left Ventricular Outflow Tract ◽  
Type A ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Ascending Aorta ◽  
Tissue Adhesives ◽  
Intimal Flap ◽  
Left Ventricular Outflow

AbstractA 75-year-old woman was admitted to the emergency department with severe and sudden chest pain. Transthoracic echocardiogram showed an unusual case of aortic dissection Stanford Type A with complete circumferential detachment of the ascending aorta intima. An intussusception of the intima flap into the left ventricular outflow tract was also observed. This case presents a very rare surgical treatment involving root repair using tissue adhesives for a left ventricular intimal flap.

Mortality and complications in 3495 children with isolated ventricular septal defects

2016 ◽  
Vol 101 (9) ◽  
pp. 808-813 ◽  
Author(s):  
Jarle Jortveit ◽  
Elisabeth Leirgul ◽  
Leif Eskedal ◽  
Gottfried Greve ◽  
Tatiana Fomina ◽  
...  
Keyword(s):  
Pulmonary Hypertension ◽  
Aortic Regurgitation ◽  
Left Ventricular Outflow Tract ◽  
Heart Defects ◽  
Ventricular Outflow Tract ◽  
Left Ventricular ◽  
Outflow Tract ◽  
Cardiac Complications ◽  
Septal Defects ◽  
Left Ventricular Outflow

BackgroundVentricular septal defects (VSDs) are the most common congenital heart defects (CHDs). Previous studies indicate an increased risk of endocarditis, aortic regurgitation, left ventricular outflow tract obstructions, pulmonary hypertension, arrhythmias and sudden death in patients with isolated VSDs. The present nationwide cohort study reports mortality and cardiac complications requiring hospitalisation or intervention in children with isolated VSDs.Methods and resultsMedical information concerning all 943 871 live births in Norway in 1994–2009 was retrieved from the Medical Birth Registry of Norway, the Cardiovascular Disease in Norway project, the Oslo University Hospital's Clinical Registry of Congenital Heart Defects and the Norwegian Cause of Death Registry. Isolated VSDs were identified in 3495 children without known chromosomal aberrations or extracardiac malformations. Surgical or catheter-based treatment of VSD was performed in 181 (5.2%) cases. Twelve (0.3%) children with VSDs died before 2013. There was no operative mortality, and no excess mortality in children with isolated VSDs compared with children without VSDs (adjusted HR 0.8 (0.5 to 1.4), p=0.48). The following conditions were recorded as possible cardiac complications of the VSDs: endocarditis in 3 children (0.9‰), aortic regurgitation in 12 children (3.4‰), left ventricular outflow tract obstructions in no children (0.0‰), pulmonary hypertension in 1 child (0.3‰) and arrhythmias in 16 children (4.6‰).ConclusionsThe entire group of children with isolated VSDs had a favourable prognosis without excess mortality. Cardiac complications requiring hospitalisation or intervention, including endocarditis, aortic regurgitation, left ventricular outflow tract obstructions, pulmonary hypertension and arrhythmias, were infrequent during childhood.Trial registration numberNCT02026557.

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